The NV Prenatal to Three System Asset and Gap Analysis (SAGA) was developed in November 2022 as part of a series of key project deliverables for Nevada’s Early Childhood Comprehensive Systems Health Integration grant from the Health Resources and Services Administration (HRSA). The purpose of the SAGA is to understand the landscape of the state’s early childhood system and existing efforts, address integration of the early childhood system and health sector, and identify gaps in promoting early developmental health and family well-being. The SAGA also laid the foundation for the Nevada Prenatal to Three Strategic Plan. This updated summary is intended to support re-assessment of current or future priorities, objectives, and implementation timelines.